Whittington et al. 2023
Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World

Table 1. Some promising interventions for the reduction of coercion in mental health services.
Community ServicesInpatient ServicesBoth Service Levels
Advance directives/advance planning 2Six Core Strategies 1,3Medication discontinuance 3
Joint crisis plans 2Safewards 1,3,**Peer support 3
Crisis plan/card 2Talk First 1Recovery models 3
Early warning symptoms 2ResTrain Yourself 1Representation agreements3
Community Treatment Order 2Scottish Patient Safety Programme 1Shared decision-making 2,3,**
Treatment adherence therapy 2Seclusion Reduction Programme 1Trauma-informed 3
Financial incentives 2Sensory Modulation 1
Crisis Resolution Team 2Restraint education 2
Integrated treatment 2
Club House 3
Hearing Voices Network 3
Respite houses 3
Soteria House 3,**
Trialogue 3
1 Cited as an ‘intervention family‘ in four or more empirical studies analysed by Baker et al. [101]-any evaluation methodology; 2 Cited as an intervention tested in at least one RCT by Barbui et al. [87]; 3 Cited as a ‘prominent measure or approach‘ which has been implemented ‘internationally‘ or in at least five countries by Gooding et al. [104]; ** Intervention implemented at least once in a low- or middle-income country; Bold: intervention with evidence of effectiveness in at least one RCT.
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